Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK D. ELLIS, N.P.
ActiveMR. MARK D. ELLIS, N.P. is a Family Nurse Practitioner healthcare provider located in JOHNSON CITY, Texas. NPI 1508868530 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · JOHNSON CITY, TX
Registration Details
- NPI Number
- 1508868530
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2005 (20.983763003853 yrs)
- Last Updated
- Aug 10, 2021
- Licenses
-
609633 (TX)AP108475 (TX)
Practice Information
- Address
-
208 HALEY RDJOHNSON CITY, TX, 786364617Browse TX providers · Browse ZIP 78636
- Phone
- 8308689500
- Fax
- 8308684606
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in JOHNSON CITY, TX
| Name | Credential | NPI |
|---|---|---|
| MRS. JOVAWNA DAWN ELLISON-HUBBARD | MSN,APRN,FNP-BC | 1720276843 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.